Individual provider Active NPI

Kyndra Lea Gross, PA

  • Surgical Physician Assistant
  • Plano, TX
National Provider Identifier
1396296117
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10863 Issued in TX
Practice address
6020 W Parker Rd Ste 470
Plano, TX 75093-8338
Phone
(972) 608-8868
Fax
(972) 608-0366
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10863 TX Primary

Addresses

Primary practice location

6020 W Parker Rd Ste 470
Plano, TX 75093-8338

Mailing address

6020 W Parker Rd Ste 470
Plano, TX 75093-8338
Phone (972) 608-8868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119002062 TX Practitioner - Physician Assistant 2769764174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1801 Inwood Rd
Dallas, TX 75235-7202

2350 N Stemmons Frwy
Dallas, TX 75207-2700
Phone (844) 424-4537

2350 N Stemmons Fwy
Dallas, TX 75207-2700

2350N Stemmons Fwy 4300
Dallas, TX 75207-2700
Phone (214) 645-0624

5151 Harry Hines Blvd
Dallas, TX 75235-7707
Phone (214) 645-2353

5161 Harry Hines Blvd
Dallas, TX 75235-7707

5323 Harry Hines Blvd
Dallas, TX 75390-9257

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Sep 1, 2019 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 18, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 18, 2024 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6020 W Parker Rd
Ste 470
Plano, TX 75093
Phone (972) 608-8868

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1396296117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 470",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938338",
            "telephone_number": "972-608-8868",
            "fax_number": "972-608-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 470",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938338",
            "telephone_number": "972-608-8868",
            "fax_number": "972-608-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "KYNDRA",
        "middle_name": "LEA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.